Natasha

[Flora Limukii @limukii_f]

Jana I passed by Riverside drive like 20 mins after that terrible accident yesterday, i think everyday is a reminder of how lucky you can be and life is so fragile 🙏🏼
Please ignore my fuel alert, the economy is doing badly 🥹

[Franc™ @Its_franc_]

Nairobi has taught me that leaving home at 7:00 AM and leaving home at 7:05 AM are two completely different decisions.....

That extra five minutes can cost you an entire morning

[My Doctor @mmmicheni]

I could go through the rest of my life without doing another CS and I wouldn’t feel a thing.. ni vizuri kujijua. 😅

[¥ @laylanaiim]

And for the lady, perhaps a soft, low cortisol life & a calm nervous system.

[Nessie Judge @nessiejudge]

Congratulations Spain! 🇪🇸✨😄
#WorldCup2026

[Ilyaz @AomineReborn]

First time was so nice
They had to do it twice ❤️

[Sports on Predict @sportsonpredict]

🚨 Lamine Yamal’s little brother during Spain’s World Cup celebrations:

• Fell over in front of a photographer.
• Hugged Yamal.
• Played football on the pitch.
• Tried a nutmeg.
• Wore a cap three sizes too big.

[Annalise Keating @Ariannnyy_]

You can’t convince me life is just a series of coincidences. What do you mean Lionel Messi was randomly paired with a five-month-old baby after the baby’s family won a UNICEF raffle for a charity photoshoot while Messi played for Barcelona… and that baby grew up to be Lamine Yamal?

Lamine would go on to become one of the brightest young stars in soccer, wear the same No. 19 Messi wore for the same team when that photo was taken, and now, nearly two decades later, could face Messi in a World Cup Final???????

[Valérie Ndegwa @LadyValeriee]

Just married 🤍🥂

[‏ً @omgsidewalks]

SERIOUS QUESTION: People in their 30s, has anyone else gone from being super ambitious about climbing the corporate ladder to NOT wanting to work at all ??

[ᶜᴰᶠᴬ @SirLV]

So now it will be known as MP H Hospital?

[Michelle Obama @MichelleObama]

Barack: You told me all those years ago that you couldn’t promise me the world, but you could promise me an interesting life. Of course, you outdid yourself and managed to give me both.

Eight years in the crucible, and not once did you melt from the heat. Not once did you let it harden you. Instead, you used it to reveal your truest essence: your stubborn optimism and unflinching courage, your dazzling brilliance and unpretentious decency, your ferocious work ethic and absolutely unshakable moral fiber.

[Ezzy @EzzyMUFC]

Look at the saves he was making man, no wonder they’re calling him the Cape Verdean Ochoa 😭 https://t.co/iVLO2P7SJV

[Leo Dasilva @SirLeoBDasilva]

Everyone is celebrating defensive masterclass until Arsenal do it.

[Vionna @Kurlycheeks]

Least fave thing to do: Jeans shopping, because now the shop attendant and I are both about to get frustrated. There needs to be a size between size 12 and 10, for babes with thick thighs and slightly smaller waists..

[𝐌𝐀𝐋𝐈𝐊 @TheMahleek]

If he pours a little of every beer into the same cup, can we call it the World Cup??

[Dr Gacikira 🕹️ @gacikiraMD]

In your career, you will meet a co-worker who hates you for no reason. It is very important you keep showing up at your best, keep triggering them and their insecurities.

[Kristin M. Collier, MD @HSRdirector]

if you aren’t vigilant you can come out of med school a worse human being —as the traits that are selected for in the process (hyper-efficiency, a tough outer shell, ability to hyper-compartmentalize etc) are not the traits that make you a good spouse, patient parent etc

[Dr Gacikira 🕹️ @gacikiraMD]

A 42-year-old man presents with progressive fatigue, weight loss (8 kg over 6 months), darkening of the skin, dizziness on standing & recurrent abdominal pain.
He reports craving salty foods. Examination reveals BP 88/56 mmHg lying and 70/40 mmHg standing, diffuse hyperpigmentation of the buccal mucosa and palmar creases, and generalized weakness.

Laboratory results:

Na⁺: 124 mmol/L
K⁺: 6.1 mmol/L
HCO₃⁻: 18 mmol/L
Glucose: 3.1 mmol/L
Hb: 11.2 g/dL
Eosinophils: 9%
Morning serum cortisol: 2 μg/dL (normal 10–20)
Plasma ACTH: markedly elevated

Questions✅

What is the most likely diagnosis?
Explain the pathophysiology behind:
-Hyperpigmentation
-Hyponatremia
-Hyperkalemia

What test would confirm the diagnosis?
List four causes of this condition.
How would you manage this patient acutely if he presented with shock?
What long-term hormone replacement therapy is required?

Let me know when you are done.